{"npi":"1083961163","type":"NPI-2","status":"active","name":{"display":"The Lakes Community Health Center, INC","other":[],"organization_name":"THE LAKES COMMUNITY HEALTH CENTER, INC","authorised_official":"Reba Rice"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"WI","license":"26972"}]},"addresses":[{"purpose":"LOCATION","street_1":"600 W SHELL CREEK RD","city":"MINONG","state":"WI","postal_code":"548599302","country_code":"US","phone":"7154662201","fax":"7154662205"},{"purpose":"MAILING","street_1":"15735 W US HIGHWAY 63","city":"HAYWARD","state":"WI","postal_code":"548436475","country_code":"US","phone":"7159340710","fax":"7155984881"}],"license":{"state":"WI","number":"26972"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1811178825","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-08-08","last_updated":"2021-08-05","_meta":{"source":"NPPES","snapshot_date":"2021-08-05","doc_url":"https://findmynpi.com/api"}}